Restoration of Intestinal Propulsion in Patients with Severe Acute Pancreatitis in the Conditions of the Resuscitation and Intensive Care Unit

The intestine plays an important role in the processes of systemic inflammation, sepsis and multiple organ dysfunction, course hemorrhagic shock, trauma, burns, pancreatitis, extensive abdominal surgery seriously ill patients intensive care units (ICUs). One leading causes affecting outcomes treatment surgical after interventions on organs continues to be syndrome intestinal insufficiency developing early postoperative period, which pathogenetic aspect is impairment propulsive function intestine. AIM OF THE STUDY Improving with severe acute pancreatitis by restoring bowel function. MATERIAL AND METHODS study included 94 (67 (71.3%) men 27 (28.7%) women) admitted ICU first 24–72 hours from onset disease (abdominal pain syndrome). mean age was 48.2 ± 12.5 years, were divided into two groups: comparison group (n=40) received standard therapy ICU, (n=54) described supplemented use saline enteral solution start nutrition order restore functional activity RESULTS Extended inclusion made it possible correct manifestations failure 2.4 times faster, day 2.1±0.8 dynamic observation group, contributed leveling syndrome, prevention nutritional deficiencies. At same time, effective peristalsis, confirmed ultrasound, determined 57.4% 2.1±1.6, 35.1% 3.6±2.0, 7.4% 4.8±1.7 stay ICU. While peristalsis 37.5% 4.4±2.3 days, 30% 6.2±1.1 27.5% 8.1±3.6 5% 10.4±2.2 days 6.7% not peristalsis. CONCLUSION Enteral regimen for a diagnosis “Acute pancreatitis” more rapid recovery motor-evacuation reduce number purulent-septic complications 1.4-fold, cases 1.7-fold, mortality 1.6-fold.